MS. AGNES ELIZABETH OBLAS


Address: 1127 E Hiddenview Dr, Phoenix, AZ 85048
Phone: 6024056320

MS. AGNES ELIZABETH OBLAS (NPI# 1699772905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699772905
Entity Type Individual
Full Name MS. AGNES ELIZABETH OBLAS
Other Name MS. AGNES ELIZABETH METH
Credential ANP-C
Practice Address 1127 E Hiddenview Dr
Phoenix
AZ 85048
Mailing Address 13838 S 46th Pl
#340
Phoenix
AZ 85044-7800
Practice Telephone 6024056320
Mailing Telephone 6024056320
Mailing Fax Number 4807058848
Enumeration Date 2005-06-30
Last Update Date 2019-06-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN076153 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 340034 05

Office Location

Street Address 1127 E HIDDENVIEW DR
City PHOENIX
State AZ
Zip Code 85048

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85048

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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